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1164080271
TRAVIS JORDAN ATWATER
ROCHESTER, NY
NPI
1164080271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
TRAVIS JORDAN ATWATER MSW, CRPA-P
835 W MAIN ST
ROCHESTER, NY 14611-2335
Phone number: 585-627-1777
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Mailing Address
TRAVIS JORDAN ATWATER MSW, CRPA-P
835 W MAIN ST
ROCHESTER, NY 14611-2335
Phone number: 585-627-1777
Copy
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